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ENDOSCOPY 2006. A NEW WORLD BEGINS. www.thejag.org.uk. PMETB JCHMT, JCHST RCP, RCPed RCPSglas RCS, RCSed RCPGP RCN BSG ACP, AUGIS. TRAINING SITES. 3 NATIONAL CENTRES POLICY DECISION COURSE DEVELOPMENT 7 REGIONAL CENTRES TRAINING DELIVERY JAG APPROVED UNITS NOWHERE ELSE CAN TRAIN.
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ENDOSCOPY 2006 A NEW WORLD BEGINS
www.thejag.org.uk • PMETB • JCHMT, JCHST • RCP, RCPed • RCPSglas • RCS, RCSed • RCPGP • RCN • BSG • ACP, AUGIS
TRAINING SITES • 3 NATIONAL CENTRES • POLICY DECISION • COURSE DEVELOPMENT • 7 REGIONAL CENTRES • TRAINING DELIVERY • JAG APPROVED UNITS • NOWHERE ELSE CAN TRAIN
COURSES • JAG APPROVED • JAG COMPLIANT • MUST DO SPECIFIC COURSES • APPLIES TO ALL ENDOSCOPISTS
COURSES • BASIC ENDOSCOPY • UPPER GI DIAGNOSTIC • FLEXIBLE SIGMOIDOSCOPY • COLONOSCOPY • ERCP • THERAPEUTIC UPPER • EUS • TTE / STT
TRAINEES • SpR AND ABOVE – NOT SHO • NURSES • PERMANENT STAFF • GP’S • OTHERS
TRAINEES • START WITH BASIC COURSE (Sp1) • MORE SPECIALIST COURSES LATER • Sp2/3 gastro trainees • At sub-specialisation – surgical (Sp3/4) • Only appropriate courses • No tick boxing
TRAINEES • BASIC COURSE • COMPLETE CONSOLIDATION • DECLARATION OF COMPETENCE • ONLY THEN - MOVE ON TO NEXT
TRAINERS • ON COURSES – TTT / TTE • AT BASE – TTT/TTE or STT • AIM • LOCAL TTT RESPONSIBLE • LOCAL TTT / STT DELIVERY
TRAINERS • MAJOR CHANGES IMMINENT • NO TTT/TTE/STT • = NO TRAINEES • TRAINERS MUST BE IN ROOM AT ALL TIMES • TRAINING COLONOSCOPY COUNTS IN TRAINERS FIGURES
ASSESSMENT • MEDICAL/SURGICAL • VIA RITA PROCESS • ? CERTFICATION • TRAINING LOG • DOPS FORMS • CONSOLIDATION FORMS • www.thejag.org.uk
ASSESSMENT • OTHER MEDICAL • NURSES • OTHER ENDOSCOPISTS • REGISTER WITH JAG • PROVIDE LOG/DOPS EVIDENCE • ?CERTIFICATION
ENDOSCOPY QA • ENDOSCOPY UNITS • GLOBAL RATING SCALE • JAG VISITS / REGISTRATION • ENDOSCOPISTS • ALL ENDOSCOPISTS ARE EQUAL • PERSONAL QA – BEGINS NOW
ENDOSCOPY QA • STARTING WITH COLONOSCOPY • PRECIPITATED BY BSG AUDIT • MADE ESSENTIAL BY SCREENING • SCREENING QA (screen bar) DECIDED • TWO TIER SERVICE INCONCEIVABLE
THE SCREEN BAR • MINIMUM OF 150 PER YEAR • LIFETIME PERF RATE < 1:1000 • ADENOMA DETECTION >15% • BASED ON PRIMARY DIAGNOSTIC SCOPE • 85% CAECAL INTUBATION RATE • BASED ON LIST DESCRIPTOR • NO DISCOUNTING ALLOWED • 90% IF YOU DISCOUNT
THE SCREEN BAR • MCQ BASED ON LESION RECOGNITION • HANDS ON ASSESSMENT – RECORDED LIST OF 4 WITH IMAGER AND TRI-SCREEN • APPEALS POSSIBLE
THE SCREEN • 10 – 15% NON NHS DELIVERY • SAME ASSESSMENT WILL APPLY
THE SCREEN BAR • WILL EVENTUALLY APPLY TO ALL COLONOSCOPISTS: • IN NHS UNITS • IN DIAGNOSTIC CENTRES • IN PRIVATE HOSPITALS
WELCOME TO THE FUTURE • QA IS ESSENTIAL • QA IS HERE TO STAY • UPDATE YOUR PRACTICE NOW • DEMAND MASTERCLASSES/UPDATES • MAKE SURE YOUR UNIT IS JAG’d • MAKE SURE YOU CAN TRAIN
TRAINING IN THE FUTURE • DIDACTIC SESSIONS – ELECTRONIC • CENTRALIZED SIMULATED TRAINING • UNIT BASED PRACTICE (TTE/STT) • LESS TIME AWAY FROM BASE • RITA / JAG CERTIFICATION • CENTRAL FUNDING ENDS • LOCAL FUNDING BEGINS 2007 (WDD/WDC or DEANERY)
TRAINING IN THE FUTURE • TRAINING MEANS TRAINING • IN THE ROOM • HANDS ON • NOT JUST “available” • UNTIL CERTIFIED